Allen, Jack M
Allen, Jack M is an individual health care provider with primary practice located at 7373 West Jefferson Avenue Suite #302, Lakewood CO 80235-2021. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / Dentist is his primary health care specialty. Allen, Jack M can be contacted via phone (303) 988-9220.Contact Information
Primary practice address
7373 West Jefferson Avenue Suite #302
Lakewood CO 80235-2021
Phone: (303) 988-9220
Fax: (303) 988-9523
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Dentist | 122300000X | 3532 | Colorado |
Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 3532 | Kansas |
Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 307 | Missouri |
Profile Details
NPI number | 1316153414 |
---|---|
LBN Legal business name | Allen, Jack M |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 15th, 2007 |
Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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